MR. JUSTIN DWAYNE KENNEMER (NPI# 1578031282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578031282 |
Entity Type | Individual |
Full Name | MR. JUSTIN DWAYNE KENNEMER |
Credential | OTR/L |
Practice Address |
92 N Broadview St Greenbrier AR 72058-9471 |
Mailing Address |
331 S Bolden Hill Rd Greenbrier AR 72058-9024 |
Practice Telephone | 8176885865 |
Mailing Telephone | 8176885865 |
Enumeration Date | 2018-11-12 |
Last Update Date | 2018-11-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OTR2937 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
92 N BROADVIEW ST |
City | GREENBRIER |
State | AR |
Zip Code | 72058-9471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487296570 | Lauren Michelle Davis | Pharmacist | 61a South Broadview Street, Greenbrier, AR 72058 | 2019-10-10 |
1851941751 | Carmen M. Crawford | Technician | 129 Mill Creek Dr., Greenbrier, AR 72058 | 2019-09-13 |
1659935476 | Thomas A Bradley | Nurse Practitioner | 20 Wilson Farm Rd, Greenbrier, AR 72058 | 2019-04-26 |
1235614421 | Greenbrier Pharmacy Inc | Pharmacy | 61a South Broadview St, Greenbrier, AR 72058 | 2018-10-03 |
1912453127 | Sarah Ellington | Speech-Language Pathologist | 8 Wilson Farm Rd Suite F, Greenbrier, AR 72058 | 2016-08-28 |
1487056628 | Tammy Dallari | Occupational Therapist | 92 A S Broadview St, Greenbrier, AR 72058 | 2014-09-18 |
1427300953 | Elizabeth Mcclelland | Occupational Therapist | 92 A South Broadveiw, Hwy 65, Greenbrier, AR 72058 | 2012-10-08 |
1891040564 | Kristina Mcgee | Speech-Language Pathologist | 92 South Broadveiw, Hwy 65, Greenbrier, AR 72058 | 2012-07-19 |
1003189606 | Conway Childrens Clinic Pa Corp | Clinic/Center | 10 Lois Lane, Greenbrier, AR 72058 | 2012-02-14 |
1861797813 | Harps Food Stores Inc | Pharmacy | 15 North Broadview Street, Greenbrier, AR 72058 | 2011-01-24 |
Find all providers in zip 72058 |
Taxonomy Code | 225XP0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Pediatrics |
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942656889 | Catherine Acre | Occupational Therapist | 30 Acres Cir, Greenbrier, AR 72058-9406 | 2016-05-10 |
1609103373 | Jennifer Harmon | Occupational Therapist | 92 A South Broadview, Greenbrier, AR 72058 | 2009-11-17 |
1750539243 | Cheri Meeks | Occupational Therapist | 14 S Springhill Ln, Greenbrier, AR 72058-9538 | 2008-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730790759 | Sonja Renee Cowan | Occupational Therapist | 1006 1st St, Foreman, AR 71836-8980 | 2020-08-13 |
1063039980 | First Step Arkansas, LLC | Occupational Therapist | 528 Industrial Park Access Rd, Trumann, AR 72472 | 2020-06-26 |
1487291415 | Rewild The Child Nwa, LLC | Occupational Therapist | 2003 Sw Regional Airport Blvd, Bentonville, AR 72713-7930 | 2019-12-10 |
1275178113 | Cathryn Elizabeth Hall | Occupational Therapist | 910 Nw 7th St Ste 2and4, Bentonville, AR 72712-4565 | 2019-11-14 |
1992265722 | Melody Dawn Luttrell IIi | Occupational Therapist | 385 Harmony Rd, Pocahontas, AR 72455-7102 | 2019-03-19 |
1821515941 | Emily Ratcliff | Occupational Therapist | 910 Nw 7th St Ste 2&4, Bentonville, AR 72712-4565 | 2017-08-29 |
1801344890 | Stephanie Lyn Hartle | Occupational Therapist | 4601 Ridge Rd, North Little Rock, AR 72116-7264 | 2016-09-19 |
1174079453 | Isaacs Occupational Therapy, LLC | Occupational Therapist | 33 Court Rd, Ash Flat, AR 72513 | 2016-08-28 |
1669820171 | Just Therapy of Arkansas | Occupational Therapist | 2717 Opal Cv, Sherwood, AR 72120-2381 | 2016-05-25 |
1710350236 | Lyric Taylor Holloway | Occupational Therapist | 906 E Matthews Ave, Jonesboro, AR 72401-3050 | 2015-11-05 |
Find all providers with the same taxonomy |
City | GREENBRIER |
Zip Code | 72058 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.